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Mrs. Janice Carole Modesitt, LMT
Specialist in Lake Oswego, Oregon
NPI 1992841555

Janice Carole Modesitt is a Specialist based in Lake Oswego, OR. Janice Carole Modesitt practices in Lake Oswego, OR and has the professional credentials of LMT. The NPI Number for Janice Carole Modesitt is 1992841555 and holds a License No. 1035 (Oregon).

The current practice location address for Janice Carole Modesitt is 16463 Boones Ferry Rd, Lake Oswego, OR and can be reached out via phone at 503-699-2955.

Location: 16463 Boones Ferry Rd, Lake Oswego, OR, 97035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992841555
Provider Name
Janice Carole Modesitt
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
16463 Boones Ferry Rd, Lake Oswego, OR, 97035
Phone Number
503-699-2955
Fax Number
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
16463 Boones Ferry Rd
City
Lake Oswego
State
Oregon
Zip
97035-4259
Phone Number
503-699-2955
Fax Number
person
Provider Business Mailing Address Details
Address
16463 Boones Ferry Rd
City
Lake Oswego
State
Oregon
Zip
97035-4259
Phone Number
503-699-2955
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1035 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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